Why your Plan holds up when it matters
A Medical Surveillance Plan is only as strong as the law behind it. Most plans are written once, copied often, and quietly go stale while the regulations move on. The Care Net Method is our answer: a maintained, versioned body of South African occupational health law that every Plan is built against, reviewed monthly, and ratified by a registered Occupational Medical Practitioner.
Three commitments sit underneath every document we release:
- Triple verification. No regulation is cited until it passes three independent checks: the primary legal text itself, a second authoritative source that corroborates it, and a currency check that confirms it is still in force and captures every amendment. A law that cannot pass all three gates never appears in your Plan.
- A legal basis for every test. Every medical assessment we prescribe carries two justifications: the workplace hazard that demands it, and section 7 of the Employment Equity Act that makes testing lawful against the inherent requirements of the job. No test without a reason; no reason without a law.
- Clinical sign off, enforced. No Plan is released without review, recommendation, and signature by a registered Occupational Medical Practitioner. That gate lives in our systems themselves, not in a policy document, so there is no way around it.
The framework carries a version number on every release, an audit trail on every change, and a monthly review cycle that tracks the law as it moves: the 2026 transition from the Noise Induced Hearing Loss Regulations to the Noise Exposure Regulations, for example, is already built in and swaps automatically on the effective date.
The law we verify: 31 instruments and counting
These are the Acts, regulations, and professional standards currently verified and citable in Care Net Plans, each with its gazette reference where one exists. This is the working law of South African occupational health, kept current for you.
| Instrument | Reference |
|---|---|
| Occupational Health and Safety Act 85 of 1993 | The framework Act |
| Mine Health and Safety Act 29 of 1996 | Section 13 medical surveillance |
| Employment Equity Act 55 of 1998, section 7 | Lawful basis for medical testing |
| COIDA (as amended 2022) | Compensation route |
| ODMWA | Mines and works dust diseases route |
| Construction Regulations, 2014 | GN R.84, GG 37305 |
| Noise Induced Hearing Loss Regulations, 2003 | GN R.307, to 05/09/2026 |
| Noise Exposure Regulations, 2024 | GN 5953, GG 52226, from 06/09/2026 |
| Hazardous Chemical Agents Regulations, 2021 | GN R.280, GG 44348 |
| Hazardous Biological Agents Regulations, 2022 | GN R.1887 |
| Lead Regulations, 2001 | GN R.236, GG 23175 |
| Asbestos Abatement Regulations, 2020 | GN R.1196, GG 43893 |
| Ergonomics Regulations, 2019 | GN R.1589, GG 42894 |
| Environmental Regulations for Workplaces, 1987 | GN R.2281 |
| Driven Machinery Regulations, 2015 | GNR 539, 540, 542 of 2015 |
| General Safety Regulations, 1986 | GNR 1031, GG 10252 |
| General Machinery Regulations, 1988 | GNR 1521, GG 11443 |
| General Administrative Regulations, 2003 | GNR 929, GG 25129 |
| Facilities Regulations, 2004 | GNR 924 |
| Electrical Machinery and Installation Regulations | GN R.250 and GN R.242 |
| Major Hazard Installation Regulations, 2022 | GN R.2989, GG 47970 |
| Food Premises Hygiene Regulations, R638 of 2018 | GG 41730 |
| National Environmental Management: Waste Act 59 of 2008 | GG 32000 |
| National Road Traffic Act, PrDP medical provisions | NRTR 2000, regulations 115 to 117 |
| Fitness to Perform Work Guideline (mines) | GN R.147, GG 39656 |
| Hazardous Substances Act (radiation control) | SAHPRA licensing framework |
| SANS 3000-4 railway safety fitness | SANS 3000-4:2011 |
| BCEA night work Code of Good Practice | Section 17(3) |
| HPCSA ethical guidelines | Booklets 1, 10, and 11 |
Where the law is still moving, we say so rather than guess: instruments under amendment carry a review watch, and anything we cannot verify routes to our clinical team instead of into your document.
17 industries, mapped end to end
Your Plan is built from the regulatory framework for your industry, not from a generic template. Every industry below carries its own verified instrument set, its own subindustries, and its own job role library.
| Industry | Subindustries covered | Roles mapped |
|---|---|---|
| Agriculture and forestry | Crop farming, livestock, forestry | 19 |
| Cleaning and hygiene services | Commercial cleaning, specialised hygiene | 10 |
| Construction | Building, civils, demolition, electrical, roadworks | 31 |
| Education | Schools and early childhood, tertiary and training | 10 |
| Government and municipal | Administration, public works, emergency and traffic services | 16 |
| Healthcare and laboratories | Clinics, hospitals, laboratories | 18 |
| Hospitality and food service | Hotels and accommodation, restaurants and catering | 12 |
| Manufacturing | Food, metals, chemical, automotive, textiles, plastics, wood | 41 |
| Mining | Gold, coal, platinum, chrome, diamond, quarrying | 35 |
| Office and professional services | Corporate offices, contact centres | 10 |
| Petrochemical and fuel retail | Refining and terminals, service stations, LPG and gases | 16 |
| Retail and wholesale | Retail stores, wholesale and distribution | 12 |
| Security services | Guarding, armed response and cash in transit | 10 |
| Telecommunications and tower work | Tower rigging, field networks, data centres | 15 |
| Transport and logistics | Road freight, warehousing, rail, ports, aviation ground handling | 30 |
| Utilities and energy | Power generation, water and wastewater, renewables | 16 |
| Waste management | Collection, landfill and transfer, recycling | 15 |
Is your industry not listed, or does your operation straddle more than one? Tell us in the assessment: unusual operations route to a consultant and are mapped properly rather than forced into the nearest box.
316 job roles, each with its own risk picture
A cashier and a forklift driver in the same building need entirely different surveillance. That is why the Method maps job roles, not just industries: 316 roles across the taxonomy, each carrying its inherent physical and cognitive demands, its statutory competency requirements, and its typical hazard exposures with a rating and a reason.
When you complete the assessment, your own job categories are matched against this library, then adjusted to your actual operations: your measured exposure levels, your controls, your shift patterns. Where your measurements exceed a legal limit, the surveillance tightens. It never loosens by assumption.
Examples of what a role carries: a rock drill operator maps noise, silica dust, vibration, and underground heat, and routes dust disease surveillance through the statutory mines pathway; a contact centre agent maps night shift patterns, workstation strain, and headset acoustic exposure. Same country, same law, completely different Plans.
30 medical protocols, every one with a legal basis
These are the medical assessments the Method can prescribe. Each carries a baseline examination, a periodic interval of twelve months or shorter unless the law itself allows longer, an exit examination that is never omitted, and the legal instrument that anchors it.
- Audiometry
- Spirometry
- Respiratory symptom questionnaire
- Chest X ray per silica protocol
- Dust disease examination battery for mine workers
- Blood lead biological monitoring
- Lead exposure clinical examination
- Biological monitoring for specific chemical agents
- Occupational chemical exposure medical assessment
- Cholinesterase monitoring for pesticide exposure
- Dermatological screen
- Heights medical with vertigo and balance screen
- Confined space medical
- Heat stress tolerance assessment
- Heat tolerance screening for hot underground workings
- Vibration and musculoskeletal screen
- Musculoskeletal and ergonomic assessment
- Night work medical examination
- PrDP statutory medical and vision screen
- Lifting machine operator certificate of fitness
- Mine certificate of fitness examination
- Railway safety critical fitness examination
- General medical for electrical work
- Vision screening with colour vision and UV skin surveillance
- Radiation worker surveillance with dose monitoring
- Occupational tuberculosis screening
- Hepatitis B immunity verification and vaccination pathway
- Biological agent surveillance per written medical protocol
- Zoonosis surveillance per written medical protocol
- Food handler fitness assessment
Care Net screens fitness for work; we do not diagnose. Findings and referrals rest with the reviewing Occupational Medical Practitioner, and the employer is always the payer, in line with HPCSA guidance.